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13.2 Drugs and Substance Misuse (Including Smoking)

RELATED CHAPTERS

Administration of Medication Procedure

Physical Intervention Procedure

RELEVANT GUIDANCE

If the child is placed with either Fostering First or St Christopher’s the relevant policies and procedures should also be taken account of.


Contents

Caption: contents table
   
1. Definition
2. Access/Use of Drugs and Substances
  2.1 Purchasing Drugs or Substances
  2.2 Cigarettes and Tobacco
  2.3 Alcohol
  2.4 Aerosols, Gas, Glue and Petrol
  2.5 Controlled Drugs and Substances
3. Prevention and Planning
4. Emergencies
5. Recording


1. Definition

1.1 This procedure is primarily designed for the management of children in foster care and residential care; but the principles apply to all Looked After children, and social workers should be mindful of them when placing children with parents, relatives and friends.
1.2 Drugs and substances are defined as any substance, whether restricted or prohibited, which may have a harmful effect upon a child, such as: Alcohol, Cigarettes, Tobacco, Aerosols, Gas, Glue, Magic Mushrooms (Amanita), Petrol, Solvents and all controlled substances such as Amphetamines, Barbiturates, Benzodiazepines, Cannabis, Cocaine, Hallucinogens, and Narcotics.


2. Access/Use of Drugs and Substances

Caption: access / use of drugs and substances
   

2.1

Purchasing Drugs or Substances

  2.1.1 All reasonable measures must be used to reduce or prevent children from obtaining drugs or substances that may harm them.
  2.1.2 If it is known or suspected that children are obtaining products that may harm them, whether off the streets, from dealers or from traders of any kind, the manager/supervising social worker and social worker must be informed and a strategy adopted to reduce or prevent it.
  2.1.3 If the problem persists or is serious, relevant specialists or bodies, including Trading Standards or the Police, should be informed.

2.2

Cigarettes and Tobacco

  2.2.1 It is a criminal offence for cigarettes to be purchased by or on behalf of those under 18 years of age.
  2.2.2 Staff and Carers must not condone a child or young person smoking, for example by looking after their cigarettes or allowing the young person time to smoke. If children are permitted to smoke, this must have the parents' consent or, if the parents are not available, the Head of Statutory Social Work Services. The arrangements for managing the child/young person's smoking should be set out in the child’s Placement Plan.
  2.2.3 In foster homes, carers/visitors should not smoke cigarettes or tobacco in the home or in front of children and children may not smoke inside the home. Foster carers are not permitted to purchase or give cigarettes, tobacco or the materials for making or lighting cigarettes or tobacco to children and, as indicated above, this is a criminal offence.
  2.2.4 In foster homes, carers/visitors should not smoke cigarettes or tobacco in the home or in front of children and children may not smoke inside the home. Foster carers are not permitted to purchase or give cigarettes, tobacco or the materials for making or lighting cigarettes or tobacco to children and, as indicated above, this is a criminal offence.

2.3

Alcohol

  2.3.1 In foster homes, the supervising social worker and the social worker for any children placed should come to an agreement with the foster carers whether alcohol may be consumed by the child.
  2.3.2 In residential care, staff/visitors and children are not permitted to consume alcohol on duty or in the establishment and staff are not permitted to take children into licensed premises other than those with separate restaurants.

2.4

Aerosols, Gas, Glue and Petrol

  2.4.1 Staff/carers must ensure that aerosols, gas, glue, petrol and similar substances are only used for the purpose they were designed for; and that all reasonable measures are taken to restrict their use to children who are known to pose no risk to themselves or others if they have access to them.
  2.4.2 In foster homes, the arrangements for the obtaining, storage or access to children of these substances will be outlined in the Placement Information Record for individual children.
  2.4.3 In residential care, the arrangements for the obtaining, storage and use of these substances must be outlined in the Staff Handbook and Children's Guide or individual children's Placement Information Records.

2.5

Controlled Drugs and Substances

  2.5.1 Under no circumstances may controlled drugs and substances, other than those prescribed by a medical practitioner, be permitted in any foster home or children's home. See Administration of Medication Procedure in relation to the requirement to safely store prescribed drugs in children's homes.


3. Prevention and Planning

3.1

All staff/carers should ensure that information, guidance and advice on the risks associated with harmful drugs and substances are available to all children Looked After. Additionally, any child known or suspected to be participating in drug or substances misuse activities must be provided with the following:

  • Targeted relevant information, guidance and advice to help reduce or prevent such risks as part of their Health Care Plan;
  • A strategy for managing the risk, outlined in a Behaviour Management Plan, including in what circumstances the Police will be notified;
  • As part of this strategy, consideration should also be given, through consultation with the child, to making referrals for specialist support and help children to access treatment, if appropriate.


4. Emergencies

4.1 If it is suspected that a child is misusing harmful drugs or substances and no strategy exists to reduce or prevent the behaviour, the child's social worker should be contacted and an agreement reached on how to proceed; this will include whether the Police will be notified.
4.2 If there are immediate risks and the social worker or manager/Link Worker are not available, staff/carers should take what actions are immediately necessary and then inform the manager/supervising social worker and the child's social worker at the first opportunity.
4.3 The actions that staff/carers take will be dependent on the circumstances and the degree of offence or injury that is likely. The overall responsibility of staff/carers is to protect children, themselves and others from injury and reduce or prevent the likelihood of criminal offences. If there is a risk of serious harm, injury or of a serious criminal offence and staff/carers are unable to manage safely, the Police should be notified.
4.4 If solvents are involved, allow air to circulate freely and extinguish naked lights.
4.5 If any person is unconscious, in a fit, convulsing or otherwise seriously ill, emergency first aid should be given and an ambulance requested. The emergency services should be informed that there are suspicions of drug or solvent misuse.
4.6 The drugs/substances should be removed or confiscated, preferably with the co-operation of the child, and preferably by two staff/carers; who must record their actions, describing what they have obtained and where it has been safely stored.
4.7 If children do not cooperate or there is a risk of injury or damage to property, it may be necessary to use Physical Intervention, conduct a search or call for Police assistance. See also Physical Intervention Procedure.
4.8 No further action, beyond making the situation safe and attempting to confiscate harmful drugs or substances, should be taken without a manager's authorisation, preferably in consultation with the child's social worker.
4.9

However, the staff/carers should undertake the following if a manager/supervising social worker is not available within a reasonable timescale:

  • Legal but potentially harmful substances such as cigarettes, alcohol, aerosols, gas, glue, and petrol should be put in a safe place out of the reach of children or disposed of safely;
  • Controlled substances and any associated materials or paraphernalia must be placed in a clearly marked box or other strong container and sealed, for passing to the foster carers' supervising social worker, child's social worker or residential manager as soon as practicable. (They must then arrange for it to be taken to a competent authority e.g. pharmacist or doctor; and a receipt obtained).
4.10 When safe to do so, the manager/supervising social worker and child's social worker should be notified and a decision reached on the actions/measures to be taken. This should include whether the Police should be notified.


5. Recording

5.1 Staff/carers should record any occurrence as outlined in this procedure in the child's Daily Record.

End